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1548816879
LOGAN JAMES PATZLAFF
BEAVERTON, OR
NPI
1548816879
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2019-08-13
Last Update Date
2019-08-13
Business Address
LOGAN JAMES PATZLAFF
6200 SW ARTIC DRIVE BEAVERTON, OR 97005
BEAVERTON, OR 97005
Phone number: 503-224-2184
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Mailing Address
LOGAN JAMES PATZLAFF
45360 SW ETTERS RD
GASTON, OR 97119-9074
Phone number: 503-858-2185
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